George Bleicher
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Southampton, NY
NPI 1689021826 · NPPES record last updated Sep 16, 2016
Key facts
- NPI
- 1689021826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 240 Meeting House LN
Southampton, NY 11968-5009 - Phone
- (631) 726-8200
- NPI assigned
- May 18, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968-5009
Mailing address
330 Meeting House LN
Southampton, NY 11968-5064
Other providers in Southampton, NY
- Maryellen Versoza Benito
- Barbara Lynn Bennett
- Gaurav Bhardwaj
- Saira Zia Bhatti
- Stephany Blatty
- Blossom Counseling Services
- Blossom Counseling Services LCSW PLLC
- Megan Jean Bock
- Premsai Bondalapati
- James Brady
All providers in Southampton, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.